ALWAYS LIST HAZARDOUS MATERIALS FIRST IN DESCRIPTION OF ARTICLES COLUMN
1748 S.E. 13th St. - P.O. Box 325Brainerd, MN 56401Brnd. PH. 218-829-9089 Mpls. PH. 651-644-5547TOLL FREE: (088) 829-8229
MARK "X" IN "HM" COLUMN FOR HAZARDOUS MATERIALS
Please answer all the questions. If the answer to any question is "No" or "None", do not leave the item blank, but write "No" or "None". This is important! *The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40, but less than 70 years of age.